Current Service Needs

Trillium is preparing to operate under the TBI Waiver and will award contracts as services are added to the Trillium Benefit Plan. This recruitment aims to expand the Trillium Health Resources network of qualified, approved NC Medicaid providers experienced in providing high-quality services to Trillium Members. Priority consideration will be given to licensed Neuropsychologists due to their specialized expertise in assessing and treating cognitive impairments related to TBI. Interested providers must have national accreditation to provide waiver services and must apply for consideration for the following service needs: 

Services currently in the Benefits Plan:

• Assistive Technology
• Community Networking
• Community Transition
• Crisis Intervention Stabilization and Supports
• Crisis Support Services
• Day Supports
• Home Delivered Meals
• Home Modifications
• In-Home Intensive Support
• Respite
• Life Skills Training
• Natural Support Education
• Occupational Therapy
• Personal Care
• Physical Therapy
• Residential Supports
• Specialized Consultation 
• Speech and Language Therapy
• Supported Employment
• Supported Living
• Vehicle Modifications 

Services which may be added as part of the 1915c waiver:

• Remote Supports
• Cognitive Rehabilitation

Important Information:

• Provider MUST demonstrate experience serving members with Traumatic Brain Injury.
• Provider MUST meet all qualifications of the service listed in Appendix C (Page 54) for the Waiver Amendment at  Application for 1915(c) HCBS Waiver: NC.1326.R01.04 - Mar 01, 2024 (as of Mar 01, 2024) (ncdhhs.gov) and NC Medicaid to be eligible for a contract award.
• Recruitment is for Medicaid services only.
• No start-up funding is available from Trillium. 
• Provider must be fiscally sound and have capital to start programs independently.
• Application does not guarantee a contract. Providers are advised to wait until the official contract is awarded before implementing programs.
• Provider must be an approved NC Medicaid provider enrolled in NC Tracks.
• More than one provider may be selected for a service if warranted based on member needs.

This recruitment should not be interpreted as a contract (implicit, explicit, or implied) nor imply any agreement to any potential candidate. In addition, no inference should be made that Trillium will purchase and/or implement any of the programs or services proposed by the respondents in the future.

Recruitment Opportunity TBI Services Enrollment Form

Trillium has identified a need for Office Based Opioid Treatment across Trillium’s catchment area. Providers must be enrolled in NC Tracks and meet all requirements in Clinical Coverage Policy 1A-41.

Questions Link  |  Application Link

Trillium has identified a need for Opioid Treatment Programs in Bertie, Beaufort, Dare, and Richmond Counties. Providers must be enrolled in NC Tracks and meet all requirements in Clinical Coverage Policy 8A-9

Questions Link  |  Application Link

Trillium has identified a need for Adult Partial Hospitalization across Trillium’s catchment area.  Providers must be enrolled in NC Tracks and meet all requirements in Clinical Coverage Policy 8A. 

Questions Link  |  Application Link

Trillium has identified a need for Adult Partial Hospitalization across Trillium’s catchment area.  Providers must be enrolled in NC Tracks and meet all requirements in Clinical Coverage Policy 8A.

Questions Link  |  Application Link

Qualified practitioners are Licensed Psychologists or Licensed Psychological Associates only.

Trillium has identified an ongoing need for Psychological Testing and Assessment across Trillium’s catchment area.  Providers must be enrolled in NC Tracks and meet all requirements in Clinical Coverage Policy 8C.  

Questions Link  |  Application Link

Trillium Health Resources is actively seeking organizations that are interested in conducting Trauma Informed Comprehensive Clinical Assessments (TiCCAs) as part of the Standardized Assessment Process (SAP) with Wilson County Department of Social Services (DSS) and the surrounding counties.

The TiCCAs will be for youth impacted by Wilson County DSS in an effort to ensure proper diagnosis, leading to proper service provisions subsequently enhancing the outcomes for both children and their families. The assessments are developed by Benchmarks NC, who will also provide the appropriate trainings for clinicians to perform the TiCCAs. 

Trillium will choose two provider agencies in Wilson County and the surrounding counties to conduct the TiCCAs. The selected provider agencies will designate a clinical team leader to oversee the project and the clinical team. The clinical team will be comprised of no more than five additional clinicians who will also participate in the project.

See details here

STATEMENT OF NEED

Trillium Health Resources (Trillium) is actively seeking mission-driven organizations interested in providing an innovative concept to support Children with Complex Needs through the Children’s Community Options Program (CCOP). For many children covered by Medicaid, CCOP represents a best practice that is less restrictive than ICF-IID. This service aims to be more accessible than the current Innovations Waiver, which has limited slots, and can address care gaps that often lead to unnecessary Emergency Department visits or involvement in crisis systems due to unmet needs. In the Trillium coverage area, the average waiting time for an Innovations Waiver slot is thirteen (13) years. Without access to earlier supports and interventions provided by CCOP, many children with complex needs may be at risk of institutionalization.

The Children’s Community Options Program (CCOP) is an innovative residential program designed as a four (4)-bed transitional setting for children aged eight (8) to sixteen (16) with Complex BH/IDD Needs. CCOP offers a comprehensive benefit that includes individualized active treatment services for eligible children, aiming to improve functional status and promote independent living within the community.
Children enrolled in CCOP will be assigned a Tailored Care Manager who will provide essential linkages and support for care planning, related service options, financial support sources, and oversight of their integrated care and long-term service and support needs.

Overview of Children’s Community Options Program (CCOP):

• Children’s Community Options Program (CCOP) provides a wide range of services tailored to children with intellectual and/or developmental disabilities, Traumatic Brain Injury (TBI), or Autism who have complex needs, including co-occurring behavioral health or medical conditions such as dual diagnosis. 
• CCOP collaborates with the child and their family prior to discharge from the Emergency Department to their residential home. It is designed to be flexible in meeting the needs of the child and family, thereby preventing prolonged stays in more restrictive settings like Emergency Departments.
• CCOP offers a transitional stay lasting three (3) to six (6) months, during which time children access necessary services such as assistive technology, speech therapy, physical therapy, occupational therapy, clinical, medical, dental, nutritional, behavioral, psychological, and adaptive assessments.
• CCOP leads the development of a comprehensive treatment plan that includes necessary interventions to support the child in their community.
• CCOP ensures swift establishment of services within the child's home county, including training natural supports and paid staff.
• CCOP also ensures that transitions from CCOP to other settings are carefully planned and implemented. 

This overview highlights CCOP's commitment to providing comprehensive, flexible, and supportive services to children with complex needs, aiming to enhance their functional abilities and quality of life within their community.

Interested agencies will have until September 30, 2024 to respond to the RFI. 

Provider Requirements

These requirements emphasize the provider's responsibilities in ensuring compliance, conducting assessments, coordinating care, and facilitating smooth transitions for children enrolled in the CCOP program.

• Must be accredited and enrolled in NC Tracks.
• Must obtain 27G.1700 Residential Services license with DHSR to provide treatment in a residential setting.
• Must complete initial assessment prior to the child entering the residential setting.
• Must provide staff to complete comprehensive integrated care initial assessment and coordinate additional needed assessments to set up specialized services.
• Must provide experienced staff to assist with the development and implementation of a comprehensive treatment plan, including establishing services in Home County and a training plan for natural and paid supports, for transition from CCOP Program.
• Must develop relationships with other professionals to obtain assessments in a timely manner with other community providers. Examples include Occupational Therapy, Speech Therapy, RB-BHT, Specialist evaluation for medical conditions, Assistive Technology, etc. 
• Must assist with the transition from CCOP to community to ensure linkages are maintained and services are implemented in the community post discharge.

Written letters of interest should include the following details:

• Proposed city/county location of CCOP.
• Overview of experience in providing residential and therapeutic treatment for Children with Complex Needs, including those experiencing mental health issues/substance use disorders and intellectual and/or developmental disabilities.
• Proposed timeline for implementing CCOP services for Trillium members.

These elements will help ensure that letters of interest provide essential information about the proposed location, relevant experience, and anticipated timeline for the CCOP program under consideration by Trillium Health Resources.

Letters of interest will be received until end of business September 30, 2024 and should be uploaded via the link attached: 

CCOP Submission Link

• This Request for Information (RFI) is open to in-network provider agencies that are free of contract sanctions, fraud investigations, and/or current or previous IRS liens. 
• This RFI should not be construed as a contract (implicit, explicit, or implied), nor does it imply any agreement with any potential candidate.

Trillium has identified a need for an Opioid Treatment Program in both Anson and Lee counties. Trillium will support the expansion of services in each of these counties with Medicaid funding and work closely with the selected provider to ensure that the service is being provided as clinically indicated. 

This RFP opportunity is open to agencies with experience in providing opioid treatment. The applicant can select either Anson County, Lee County or both counties in the application.  

RFP Timeline

All timelines are tentative and subject to change

RFP - Opioid Treatment Program Details     Apply for this RFP here
 

Trillium has identified a need for Psychosocial Rehabilitation in the provider network for Brunswick  County. Trillium will support the expansion of this service in either of these counties with Medicaid funding. Trillium Health Resources will work closely with the selected provider to ensure that the service is being provided as clinically indicated. 

RFP Timeline

All timelines are tentative and subject to change

RFP - Psychosocial Rehabilitation    Apply Here
 

Trillium has identified a need for Psychosocial Rehabilitation in the provider network for both Currituck and Dare Counties. Trillium will support the expansion of this service in either of these counties with Medicaid funding. Trillium Health Resources will work closely with the selected provider to ensure that the service is being provided as clinically indicated.

RFP Timeline

All timelines are tentative and subject to change

RFP - Psychosocial Rehabilitation    Apply Here